Evidence map›Paper›PMID 39968175›Full record

ArticleThe application of clinical genetics2025

Associations of Karyotype and Age at Diagnosis with Physical Features and Comorbidities in Turner Syndrome: A Single-Site Experience.

Beáta Vida, Olga Török, Enikő Felszeghy, Mónika Orosz, Zoárd Tibor Krasznai, Zoltán Tándor, Attila Jakab, Tamás Deli

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Article in The application of clinical genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Beáta VidaDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.ORCID 0000-0002-0636-8514
Olga TörökDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.
Enikő FelszeghyDepartment of Pediatrics, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.
Mónika OroszDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.
Zoárd Tibor KrasznaiDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.
Zoltán TándorDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.
Attila JakabDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.
Tamás DeliDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, H-4032, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Turner syndrome (TS) is one of the most common genetic diseases in females, with typical physical features and comorbidities. Karyotype-phenotype associations and clinical significance of childhood versus adolescent/adulthood diagnosis are conflicting. Purpose: Determining the role of certain TS karyotypes and early (<12 years of age) vs late (≥12 years) diagnosis in TS-specific phenotype and comorbidity penetrance. Patients and Methods: Retrospective analysis of baseline characteristics and 45 TS-specific features and comorbidities of 75 TS patients were diagnosed between 2009 and 2019 and followed-up until 2023 in our tertiary care center. Results: Thirteen different karyotypes were detected: 45,X,inv(10), 45,X,inv(9)(15), 45,X, 46,X,i(Xq), 46,X,del(Xp), 46,XX,del(X)q21, 45,X/46,X,del(X), 45,X/46,X,+mar, 45,X/46,X,rX, 45,X/46,XX, 45,X/46,XY, 45,X/47,XXX, 46,X,i(Xq)/47,XX,i(Xq). The classic karyotype with 45X monosomy showed an increased risk for hypertrichosis (28.6% vs 7.5%, OR 4.93, 95% CI [1.23-19.73]), pterygium colli (34% vs 12%, OR 3.65, 95% CI [1.13-11.75]) and short stature (91% vs 75%, OR 3.56 [0.89-14.17]. Mosaic karyotypes had a smaller risk of pterygium colli (OR 0.28 [0.073-1.092]) and short stature (OR 0.29 [0.086-1.026]. 45X/46XX mosaicism was associated with an increased risk of hypertension (33% vs 6%, OR 7.75 [1.39-43.08]), and the presence of the iso (Xq) chromosome increased the risk of celiac disease (28% vs 3%, OR 13.2 [1.52-114.52]). 44/75 (58.6%) of the cohort were diagnosed at <12 years of age. In the <12-year-old diagnosis group, facial dysmorphism and low hairline, (OR 3.30, [1.26-8.65]), low-set ears (OR 2.51 [0.98-6.46]), and breasts abnormalities (OR 4.71 [1.72-12.83]), short stature (OR 4.09 [1.13-14.82]) and GH therapy (OR 4.93 [1.31-16.01]) occurred more frequently. If diagnosed <12 years, patients had a decreased risk of hepatosplenomegaly (OR 0.10 [0.02-0.50]) and hypertension (OR 0.097 [0.01-0.85]). Conclusion: TS patients should be handled as a heterogenous group, as they seem to differ in the penetrance of phenotypical features of the disease and the risk of comorbidities depending on karyotype and age at diagnosis.

Indexed as

comorbiditiesincomplete penetrancekaryotype-phenotype associationmosaicismpremature ovarian insufficiencyturner-syndrome

Identifiers

PMID39968175
PMCPMC11834699

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.